Facility record report · CMS certification number 366464
SPRINGS OF LIMA THE
LIMA, Ohio · Medicare and Medicaid
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,369,225 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $977,356 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,391,869 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,553,720 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $838,149 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$448,053 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $390,096 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $390,096 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 35,502 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,316 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,477 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 19,228 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 29,021 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 91 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 44 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 254 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 389 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 147.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437806, read from the public cost report file SNF10FY2024.zip.
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,155,539 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,077,832 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,077,707 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,069,433 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $8,274 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $222,479 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $230,753 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $230,753 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,883 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 393 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 119.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1404313, read from the public cost report file SNF10FY2023.zip.
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 December 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,509,386 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $924,671 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,584,715 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,917,897 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$333,182 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $368,077 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $34,895 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $34,895 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,426 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 313 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 159.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1370523, read from the public cost report file SNF10FY2022.zip.
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,979,563 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $842,580 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,136,983 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,285,289 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$148,306 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,851 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$51,455 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$51,455 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,127 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 254 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343059, read from the public cost report file SNF10FY2021.zip.
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 March 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,031,688 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $808,517 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,223,171 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,025,137 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$801,966 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $561,919 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$240,047 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$240,047 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,936 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311382, read from the public cost report file SNF10FY2020.zip.
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,524,696 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,131,958 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,392,738 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,659,420 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$266,682 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,788 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$229,894 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$229,894 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,662 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 374 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 106.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260498, read from the public cost report file SNF10FY2019.zip.
Cost report for 2 August 2018 to 31 December 2018 — a reporting period of 151 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 30 May 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,091,066 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $467,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,623,924 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,600,694 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$976,770 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,742 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$946,028 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$946,028 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,629 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 113.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1226007, read from the public cost report file SNF10FY2018.zip.
Five facilities of a similar size in Ohio, fiscal year 2024
Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.
| Facility | Total facility beds | Total patient days | Net patient revenue | Total operating expenses | Net income from service to patients | Period ended |
|---|---|---|---|---|---|---|
| ALTERCARE OF ALLIANCE | 97 | 29,683 | $9,522,707 | $8,945,198 | $577,509 | 31 December 2024 |
| ALTERCARE OF HARTVILLE | 97 | 25,988 | $8,340,717 | $8,393,869 | −$53,152 | 31 December 2024 |
| ALTERCARE OF WADSWORTH | 97 | 27,368 | $8,385,470 | $7,943,331 | $442,139 | 31 December 2024 |
| ASTORIA PLACE OF SILVERTON | 98 | 19,560 | $4,443,546 | $7,221,939 | −$2,778,393 | 31 December 2024 |
| SOUTHBROOK HEALTHCARE CENTER | 98 | 32,510 | $10,164,646 | $9,953,439 | $211,207 | 31 May 2024 |
| THE SPRINGS OF LIMA | 97 | 29,021 | $10,391,869 | $9,553,720 | $838,149 | 31 December 2024 |
Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| GRIFFIN-AMERICAN HEALTHCARE REIT III, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 10/01/2018 |
| GRIFFIN-AMERICAN HEALTHCARE REIT IV HOLDINGS, LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 10/01/2018 |
| NORTHSTAR HEALTHCARE INCOME INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 10/01/2018 |
| NORTHSTAR HEALTHCARE INCOME OPERATING PARTNERSHIP LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 10/01/2018 |
| TRILOGY HOLDINGS NT-HCI, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 10/01/2018 |
| BARBER, ROBIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/03/2018 |
| BARNEY, LEIGH | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2001 |
| BRYANT, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/06/2016 |
| BUFFORD, RANDALL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/10/1997 |
| DAVIS, DAVID | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/21/2017 |
| PROSKY, DANNY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2015 |
| STREIFF, MATHIEU | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2015 |
| WILLIAMSON, BRADLEY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/21/2014 |
| TRILOGY HEALTH SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2015 |
| TRILOGY MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2015 |
| TRINKO, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/30/2018 |
| CORBIN, KATHY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 05/29/2018 |
| FIGHTMASTER, LISA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 12/01/2015 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of TRILOGY HEALTHCARE OF LIMA II, LLC (enrollment ID O20180608000830).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| TRILOGY OPCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMERICAN HEALTHCARE REIT HOLDINGS LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMERICAN HEALTHCARE REIT INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| GAHC3 TRILOGY JV LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| GAHC4 TRILOGY JV LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRIFFIN-AMERICAN HEALTHCARE REIT III, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRIFFIN-AMERICAN HEALTHCARE REIT IV HOLDINGS, LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| NORTHSTAR HEALTHCARE INCOME INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| NORTHSTAR HEALTHCARE INCOME OPERATING PARTNERSHIP LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRILOGY HEALTHCARE HOLDINGS INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRILOGY HOLDINGS NT-HCI, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRILOGY INVESTORS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRILOGY REAL ESTATE INVESTMENT TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 96.7 | 12/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRILOGY REIT HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 96.7 | 12/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRADLEY WILLIAMSON | Individual | CORPORATE OFFICER | 12.5 | 1/21/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DANNY PROSKY | Individual | CORPORATE OFFICER | 12.5 | 12/1/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAVID W DAVIS | Individual | CORPORATE OFFICER | 12.5 | 8/21/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LEIGH ANN BARNEY | Individual | CORPORATE OFFICER | 12.5 | 1/1/2001 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MATHIEU B STREIFF | Individual | CORPORATE OFFICER | 12.5 | 12/1/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RANDALL J BUFFORD | Individual | CORPORATE OFFICER | 12.5 | 12/10/1997 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBIN L BARBER | Individual | CORPORATE OFFICER | 12.5 | 4/3/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WILLIAM BRYANT | Individual | CORPORATE OFFICER | 12.5 | 1/6/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JESSICA TRINKO | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 7/30/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TRILOGY HEALTH SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 12/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRILOGY MANAGEMENT SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 12/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| KATHY M CORBIN | Individual | W-2 MANAGING EMPLOYEE | 0 | 5/29/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LISA FIGHTMASTER | Individual | W-2 MANAGING EMPLOYEE | 0 | 12/1/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: AMERICAN HEALTHCARE REIT INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMERICAN HEALTHCARE REIT INC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 24 July 2025 | 24 July 2025 | 0 | 1 |
| 2 | 12 September 2022 | 12 September 2022 | 11 | 5 |
| 3 | 5 September 2019 | 5 September 2019 | 7 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 1 November 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | 11 November 2024 |
| 15 August 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 29 August 2024 |
| 15 August 2024 | Health | F 0691 | Quality of Life and Care Deficiencies | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | 29 August 2024 |
| 15 August 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 29 August 2024 |
| 12 September 2022 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 30 September 2022 |
| 12 September 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 30 September 2022 |
| 12 September 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 30 September 2022 |
| 12 September 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 30 September 2022 |
| 12 September 2022 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 30 September 2022 |
| 12 September 2022 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 30 September 2022 |
| 12 September 2022 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | No | Deficient, Provider has date of correction | 30 September 2022 |
| 5 September 2019 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 14 October 2019 |
| 5 September 2019 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 14 October 2019 |
| 5 September 2019 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 14 October 2019 |
| 5 September 2019 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 14 October 2019 |
| 5 September 2019 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 14 October 2019 |
| 5 September 2019 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 14 October 2019 |
| 5 September 2019 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 14 October 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | TRILOGY HEALTHCARE OF LIMA II, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2018-08-02 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Allen |
| Telephone Number | 4192216051 |
| Chain Name | TRILOGY HEALTH SERVICES |
| Chain ID | 524 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 56 |
| Average Number of Residents per Day | 53.4 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Every change on this record
- 1 July 2026: AMERICAN HEALTHCARE REIT INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMERICAN HEALTHCARE REIT INC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 27 February 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 14 December 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 23 February 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 4 March 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 17 July 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 30 May 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
How to read this report
Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.
A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.
This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.
How to cite this report
Velarion Records, SPRINGS OF LIMA THE — facility record report, CMS certification number 366464. https://velarionrecords.com/facility/366464/report.
- Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file
SNF10FY2024.zip. - Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
- Care Compare ownership: CMS file dated 1 August 2026.
- Medicare enrollment ownership: CMS file dated 1 August 2026.
- Nurse staffing: CMS Payroll-Based Journal, quarters 2019Q1 to 2026Q1.
Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 366464. Velarion Records publishes these records as filed.
Nurse staffing, quarter by quarter
Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.
| Quarter | Quarter ended | Days reported | Resident days | Registered nurse hours | Licensed practical nurse hours | Nurse aide hours | Total nurse hours |
|---|---|---|---|---|---|---|---|
| 2019Q1 | 31 March 2019 | 90 | 3,870 | 4,567.88 | 3,260.33 | 8,522.86 | 16,351.07 |
| 2019Q2 | 30 June 2019 | 91 | 4,375 | 4,141.13 | 3,801.47 | 8,521.65 | 16,464.25 |
| 2019Q3 | 30 September 2019 | 92 | 4,746 | 4,538.08 | 4,307.67 | 8,788.02 | 17,633.77 |
| 2019Q4 | 31 December 2019 | 92 | 4,506 | 3,782.92 | 4,853.64 | 9,349.27 | 17,985.83 |
| 2020Q1 | 31 March 2020 | 91 | 4,621 | 3,609.28 | 4,452.87 | 9,039.72 | 17,101.87 |
| 2020Q2 | 30 June 2020 | 91 | 4,089 | 4,009.69 | 3,393.91 | 7,733.06 | 15,136.66 |
| 2020Q3 | 30 September 2020 | 92 | 4,324 | 3,722.23 | 3,180.3 | 7,565.7 | 14,468.23 |
| 2020Q4 | 31 December 2020 | 92 | 4,388 | 3,204.82 | 4,122.42 | 8,353.94 | 15,681.18 |
| 2021Q1 | 31 March 2021 | 90 | 4,127 | 3,694.52 | 3,724.61 | 7,696.36 | 15,115.49 |
| 2021Q2 | 30 June 2021 | 91 | 4,665 | 3,210.63 | 3,600.87 | 7,626.36 | 14,437.86 |
| 2021Q3 | 30 September 2021 | 92 | 4,785 | 2,728.04 | 3,727.81 | 7,508.3 | 13,964.15 |
| 2021Q4 | 31 December 2021 | 92 | 4,601 | 3,542.28 | 3,132.3 | 6,488.34 | 13,162.92 |
| 2022Q1 | 31 March 2022 | 90 | 4,170 | 2,806.45 | 2,955.23 | 7,659.45 | 13,421.13 |
| 2022Q2 | 30 June 2022 | 91 | 4,134 | 3,174.22 | 2,458.35 | 8,645.17 | 14,277.74 |
| 2022Q3 | 30 September 2022 | 92 | 4,602 | 3,753.38 | 2,049.09 | 9,035.54 | 14,838.01 |
| 2022Q4 | 31 December 2022 | 92 | 4,359 | 3,726.42 | 2,351.65 | 9,338.7 | 15,416.77 |
| 2023Q1 | 31 March 2023 | 90 | 4,404 | 3,375.98 | 3,119.76 | 9,383.22 | 15,878.96 |
| 2023Q2 | 30 June 2023 | 91 | 4,492 | 2,695.3 | 3,833.45 | 8,298.92 | 14,827.67 |
| 2023Q3 | 30 September 2023 | 92 | 4,640 | 2,907.86 | 4,038.6 | 7,745.62 | 14,692.08 |
| 2023Q4 | 31 December 2023 | 92 | 4,742 | 2,884.12 | 4,407.03 | 9,368.58 | 16,659.73 |
| 2024Q1 | 31 March 2024 | 91 | 4,608 | 2,741.83 | 3,889.88 | 9,646.26 | 16,277.97 |
| 2024Q2 | 30 June 2024 | 91 | 4,616 | 2,920.44 | 4,055.58 | 9,772.62 | 16,748.64 |
| 2024Q3 | 30 September 2024 | 92 | 4,774 | 3,668.49 | 3,492.67 | 9,144.24 | 16,305.4 |
| 2024Q4 | 31 December 2024 | 92 | 4,875 | 3,863.76 | 3,748.49 | 9,909.79 | 17,522.04 |
| 2025Q1 | 31 March 2025 | 90 | 4,666 | 3,984.31 | 3,856.19 | 9,319.87 | 17,160.37 |
| 2025Q2 | 30 June 2025 | 91 | 4,809 | 3,583.86 | 3,639.96 | 9,116.6 | 16,340.42 |
| 2025Q3 | 30 September 2025 | 92 | 4,716 | 3,318.66 | 4,141.82 | 9,254.81 | 16,715.29 |
| 2025Q4 | 31 December 2025 | 92 | 4,723 | 3,762.37 | 4,778.17 | 10,400.99 | 18,941.53 |
| 2026Q1 | 31 March 2026 | 90 | 4,807 | 3,811.78 | 4,921.41 | 9,826.72 | 18,559.91 |
| Quarter | Registered nurse hours per resident day | Licensed practical nurse hours per resident day | Nurse aide hours per resident day | Total nurse hours per resident day |
|---|---|---|---|---|
| 2019Q1 | 1.180331 | 0.842463 | 2.202289 | 4.225083 |
| 2019Q2 | 0.946544 | 0.868907 | 1.947806 | 3.763257 |
| 2019Q3 | 0.95619 | 0.907642 | 1.851669 | 3.715501 |
| 2019Q4 | 0.83953 | 1.07715 | 2.074849 | 3.991529 |
| 2020Q1 | 0.78106 | 0.963616 | 1.956226 | 3.700902 |
| 2020Q2 | 0.980604 | 0.83001 | 1.891186 | 3.7018 |
| 2020Q3 | 0.86083 | 0.7355 | 1.749699 | 3.346029 |
| 2020Q4 | 0.73036 | 0.939476 | 1.903815 | 3.573651 |
| 2021Q1 | 0.895207 | 0.902498 | 1.86488 | 3.662585 |
| 2021Q2 | 0.688238 | 0.771891 | 1.634804 | 3.094932 |
| 2021Q3 | 0.570123 | 0.779062 | 1.569133 | 2.918318 |
| 2021Q4 | 0.769894 | 0.680787 | 1.410202 | 2.860882 |
| 2022Q1 | 0.67301 | 0.708688 | 1.836799 | 3.218496 |
| 2022Q2 | 0.767833 | 0.594666 | 2.091236 | 3.453735 |
| 2022Q3 | 0.815598 | 0.445261 | 1.963394 | 3.224252 |
| 2022Q4 | 0.85488 | 0.539493 | 2.142395 | 3.536768 |
| 2023Q1 | 0.766571 | 0.708392 | 2.130613 | 3.605577 |
| 2023Q2 | 0.600022 | 0.853395 | 1.847489 | 3.300906 |
| 2023Q3 | 0.626694 | 0.870388 | 1.669315 | 3.166397 |
| 2023Q4 | 0.608208 | 0.929361 | 1.97566 | 3.513229 |
| 2024Q1 | 0.595015 | 0.844158 | 2.093372 | 3.532546 |
| 2024Q2 | 0.632678 | 0.878592 | 2.117119 | 3.628388 |
| 2024Q3 | 0.768431 | 0.731602 | 1.915425 | 3.415459 |
| 2024Q4 | 0.792566 | 0.768921 | 2.032777 | 3.594265 |
| 2025Q1 | 0.853903 | 0.826444 | 1.9974 | 3.677748 |
| 2025Q2 | 0.74524 | 0.756906 | 1.895737 | 3.397883 |
| 2025Q3 | 0.703702 | 0.878249 | 1.962428 | 3.544379 |
| 2025Q4 | 0.796606 | 1.011681 | 2.2022 | 4.010487 |
| 2026Q1 | 0.792964 | 1.023801 | 2.044252 | 3.861017 |
How each quarter is derived, and its file
- 2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv - 2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv - 2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv - 2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv - 2020Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv - 2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv - 2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv - 2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv - 2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv - 2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv - 2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv - 2021Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. The file's `incomplete` column flags 0 of this facility's days as 1; those days are included as filed.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv - 2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv - 2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv - 2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv - 2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv - 2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv - 2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv - 2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv - 2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv - 2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv - 2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv - 2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv - 2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv - 2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv - 2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv - 2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv - 2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv - 2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv